armymomryan
Guru
Can anyone help w/ the following?
Conscious sedation, Antegrade left nephrostogram (I got this) but need help with placement of access for endourology procedure.
Interventional radiologist dictates;
Difinitive entrance point namely a posterior inferior calyx was selected for puncture. The area was infiltrated w/ 1% lidocaine. A 3mm dermatotomy was made. An 18-guage Chiba needle was advanced under continuous fluoroscopic guidance using triangulation technique in order to puncture a posterior calyx. A glidewire was advanced, the needle was exchanged for a 4 French glide cath which was advanced distally across the midline into the patient's ileal conduit. Glidewire was removed and an Amplatz superstiff wire was advanced. The cath was removed and the Amplatz wire was taped to the body wall.
I coded so far, 99144, 50394, 74425-26, 77002-26 for the Conscious sedation and antegrade left nephrostogram, any help with the rest will be greatly appreciated!
Conscious sedation, Antegrade left nephrostogram (I got this) but need help with placement of access for endourology procedure.
Interventional radiologist dictates;
Difinitive entrance point namely a posterior inferior calyx was selected for puncture. The area was infiltrated w/ 1% lidocaine. A 3mm dermatotomy was made. An 18-guage Chiba needle was advanced under continuous fluoroscopic guidance using triangulation technique in order to puncture a posterior calyx. A glidewire was advanced, the needle was exchanged for a 4 French glide cath which was advanced distally across the midline into the patient's ileal conduit. Glidewire was removed and an Amplatz superstiff wire was advanced. The cath was removed and the Amplatz wire was taped to the body wall.
I coded so far, 99144, 50394, 74425-26, 77002-26 for the Conscious sedation and antegrade left nephrostogram, any help with the rest will be greatly appreciated!
